caa a22 4500 475738926 CHVBK 20180406123454.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1023/A:1005552901946 doi (NATIONALLICENCE)springer-10.1023/A:1005552901946 The Negative Effect of Decreasing the Level of Activity in Coping with Pain in Rheumatoid Arthritis: An Increase in Psychological Distress and Disease Impact [Elektronische Daten] [Wim van Lankveld, Gérard Näring, Paul Bosch, Leo van de Putte] The objective of this study was to analyze the effect of coping with pain in rheumatoid arthritis (RA) on subsequent changes in psychological distress and disease impact. A sample of 109 randomly selected RA patients was asked to participate in a longitudinal study. Patients were measured at baseline and after 3 years. Both measurements were completed in 80 patients. At each assessment the following variables were assessed: disease activity, pain, physical and psychological distress, disease impact, and coping. The relation between coping with pain at baseline and subsequent changes in psychological distress and disease impact was analyzed using stepwise regression. Disease status variables assessed at baseline and after 3 years were entered in the regression analysis as control variables. Results show that cognitive coping with pain at baseline was not related to subsequent changes in psychological distress or disease impact. On the other hand, behavioral pain coping assessed at baseline was related to subsequent changes in psychological distress and disease impact. "Decreasing activity” was related to an increase in self-reported psychological distress and disease impact after controlling for disease status at both assessments. It was concluded that cognitive pain coping did not predict any subsequent changes in psychological distress or disease impact. "Decreasing activity” as a behavioral pain coping style has a negative effect on subsequent changes in psychological distress and disease impact. Plenum Publishing Corporation, 2000 rheumatoid arthritis nationallicence pain nationallicence coping nationallicence impact nationallicence psychological distress nationallicence van Lankveld Wim Sint Maartenskliniek Research, P.O. Box 9011, 6500, GM Nijmegen, The Netherlands aut Näring Gérard Department of Clinical Psychology, University of Nijmegen, Nijmegen, The Netherlands aut Bosch Paul Department of Rheumatology, Sint Maartenskliniek, Nijmegen, The Netherlands aut van de Putte Leo Department of Rheumatology, University Hospital of Nijmegen, University of Nijmegen, Nijmegen, The Netherlands aut Journal of Behavioral Medicine Kluwer Academic Publishers-Plenum Publishers 23/4(2000-08-01), 377-391 0160-7715 23:4<377 2000 23 10865 https://doi.org/10.1023/A:1005552901946 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1005552901946 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- van Lankveld Wim Sint Maartenskliniek Research, P.O. Box 9011, 6500, GM Nijmegen, The Netherlands aut NATIONALLICENCE 700 1- Näring Gérard Department of Clinical Psychology, University of Nijmegen, Nijmegen, The Netherlands aut NATIONALLICENCE 700 1- Bosch Paul Department of Rheumatology, Sint Maartenskliniek, Nijmegen, The Netherlands aut NATIONALLICENCE 700 1- van de Putte Leo Department of Rheumatology, University Hospital of Nijmegen, University of Nijmegen, Nijmegen, The Netherlands aut NATIONALLICENCE 773 0- Journal of Behavioral Medicine Kluwer Academic Publishers-Plenum Publishers 23/4(2000-08-01), 377-391 0160-7715 23:4<377 2000 23 10865 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer